School
Assessor
Christopher Madden
Date
Air Distribution and Terminal System (Assess 2-3 Locations per HVAC Zone)
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors, noise or vibration
|
Yes
|
|
Clean, no obstructions
|
Yes
|
|
Free from signs of moisture/mold, insects or rodents?
|
Yes
|
|
No noticeable air leaks
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Ceiling Tiles | ||
Tight seal on all tiles
|
Yes
|
|
No stained/damaged tiles indicating high RH or moisture problem
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors or unusual sounds
|
Yes
|
|
Clean, no excess dirt or moisture
|
Yes
|
|
No obstruction to air flow
|
Yes
|
|
No purposely placed obstruction indicating occupant distress
|
Yes
|
|
| Location | ||
No short circuiting between supply and return
|
Yes
|
|
| Doors | ||
Doors not tight or difficult to close indicating large pressure differential
|
Yes
|
|
Building
| Check | OK | Comments |
|---|---|---|
| Foundation | ||
No moisture penetration or signs of mold?
|
Yes Work Order Closed by Building Maintenance
|
Gymnasium - Roof and back wall showing sings of moisture pentation (contacted Building Maintenance).
|
| Doors and Windows | ||
Caulking and weather stripping in good condition
|
Yes Work Order Closed by Building Maintenance
|
159/162 - Windows showing signs of condensation (WO #247269)
Exterior - Window caulk failing (near Portable 244, WO #247269)
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
Yes Work Order Closed by Building Maintenance
|
Room 162 and Art - Chalk trays dusty (Custodial). For Room 162, please clean areas under and around chalk trays which are also visibly dusty.
157 - Food not stored in plastic containers, can attract pests.
129 - Non-issued rug. Custodial is not responsible for cleaning. The staff member who brought it in is responsible for submitting a cleaning plan and adhering. Alternatively it can be removed (recommended).
|
No stained or damage ceiling tiles
|
Yes Work Order Closed by Building Maintenance
|
188, 175, Outside Custodial Office, Custodial Office - Stained ceiling tile. If a work order is not already progress, please place one for Building Maintenance to address the cause.
|
No visible mold present (walls, cabinets, under sinks, behind posters)
|
Yes
|
|
| Relative Humidity | ||
Not above 70%
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Clean
|
Yes
|
|
No unusual noise or odor
|
Yes
|
|
No mold growth on insulation
|
Yes Work Order Closed by Building Maintenance
|
Custodial Closet - Water staining on pipe insulation, no mold growth (WO #199870).
|
Traps contain water
|
Yes
|
|
| Chemical Storage | ||
Containers capped
|
Yes
|
|
No evidence of an active spill
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors, or unusual noise or vibration
|
Yes
|
|
Work Order Number(s)
247269, 199870
Issues found durring this assessment have been assigned to the above
work order(s).